Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $891.25 / $1,445.44	Facility		$776.25	$891.25	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $776.25 / $891.25	Professional		$354.81	$776.25	$891.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $645.65	Professional		$588.84	$588.84	$645.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $724.44 / $724.44	Facility		$446.68	$724.44	$724.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,348.96 / $1,348.96	Professional		$537.03	$1,348.96	$1,348.96